Clinical Administrative Coordinator Senior - Remote In Florida - Remote Eligible

Caring. Connecting. Growing Together.

This position is required to ensure compliance with UnitedHealthcare's contract with the Agency for Health Care Administration (AHCA). As a Clinical Administrative Coordinator Senior, you will provide administrative and operational support related to Long-term Care (LTC) members' placement changes, Level of Care (LOC) annual redetermination and Medicaid Eligibility in compliance with the contract and its amendments.

Schedule: Monday through Friday between the hours of 8 am to 5 pm Eastern Standard time. It may be necessary, given the business need, to work occasional overtime.

If you reside in the State of Florida, and you'll enjoy the flexibility to telecommute* as you take on some tough challenge.

Primary Responsibilities:

• Act as a Subject Matter Expert for other team members
• Ensure member address changes and transitions are processed and submitted to the State upon receipt within contractual time frames
• Ensure annual LOC redeterminations are submitted to the State (Department of Elder Affairs-CARES) upon receipt within contractual timeframes
• Process incoming mail from the Department of Children & Families related to Member Medicaid Eligibility
• Notification to Case Management staff of Member Medicaid Redetermination due date
• Provide support to Case Management staff within assigned areas of responsibility
• Documentation of activities in Community Care, Navigate and document multiple clinical applications and SharePoint site
• Training staff on State contract requirements and UnitedHealthcare processes

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma/GED (or higher) OR 4+ years equivalent experience working within the health care industry or with health care insurance
• 2+ years of experience analyzing and solving customer problems
• 2+ years of experience working in the health care industry
• Intermediate level of proficiency with computer and MS Word, Excel (create, edit, save documents) and Outlook (email and calendar management)
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• Access to reliable transportation and valid US driver's license

Preferred Qualifications:

• Experience working with health care insurance
• Experience in a hospital, physician's office or medical clinic setting
• Clerical or administrative support background or experience working in a call center environment
• Experience working with Medicare and/or Medicaid Services

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.

UnitedHealth Group is an Equal Employment Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.